Active NPI
Cohen Quinn Murry
- Clinical Social Worker
- Oakland, CA
National Provider Identifier
1295474096
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 109588
- Practice address
- 2828 Ford St
Oakland, CA 94601-2114 - Phone
- (510) 268-3770
- NPI assigned
- May 31, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 109588 | CA | Primary |
Addresses
Primary practice location
2828 Ford St
Oakland, CA 94601-2114
Mailing address
1947 N Albany LN
Fayetteville, AR 72704-5382
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1653955200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686182400000",
"number": "1295474096",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1947 N ALBANY LN",
"city": "FAYETTEVILLE",
"state": "AR",
"postal_code": "727045382"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2828 FORD ST",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946012114",
"telephone_number": "510-268-3770"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MURRY",
"first_name": "COHEN",
"middle_name": "QUINN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-05-31",
"last_updated": "2023-06-08",
"certification_date": "2023-06-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "109588",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oakland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.